Active NPI
Premere Rehab LLC
Doing business as Infinity Rehab LLC
- Physical Therapist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PREMERE REHAB LLC
- Doing business as
- Infinity Rehab LLC
- Practice address
- 10401 W Charleston Blvd
Las Vegas, NV 89135-1151 - Phone
- (702) 207-4242
- Fax
- (866) 728-9636
- NPI assigned
- Feb 15, 2011
- Last updated
- Jan 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Cantrell
- Title
- Director of Outpatient Services
- Phone
- (360) 901-8111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
10401 W Charleston Blvd
Las Vegas, NV 89135-1151
Mailing address
2520 Wigwam Pkwy
Henderson, NV 89074-6182
Phone (702) 260-8400
Other names 1
- Infinity Rehab LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110509000722 | NV | Part B Supplier - Clinic/Group Practice | 2567434764 |
Receives reassigned benefits from 6 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Las Vegas, NV |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Infinity Rehab
- Physical Therapist
- Henderson, NV
- NPI 1235821307
O20110509000722
-
dba Infinity Rehab
- Physical Therapist
- Las Vegas, NV
- NPI 1932828316
O20110509000722
-
dba Infinity Rehab
- Physical Therapist
- Wilsonville, OR
- NPI 1245278639
O20110509000722
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Physical Therapist
- Tualatin, OR
- NPI 1588855126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706054400000",
"number": "1922305663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 WIGWAM PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890746182",
"telephone_number": "702-260-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10401 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891351151",
"telephone_number": "702-207-4242",
"fax_number": "866-728-9636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMERE REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-15",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A",
"authorized_official_last_name": "CANTRELL",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "DIRECTOR OF OUTPATIENT SERVICES",
"authorized_official_telephone_number": "360-901-8111"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Infinity Rehab LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.